258409 05/10/16 %�4�''"i CITY OF CARMEL, INDIANA VENDOR: 369217
® ONE CIVIC SQUARE GEAR WASH CHECK AMOUNT: $*******864.04*
�; ��; CARMEL, INDIANA 46032 657 SOUTH 72ND STREET CHECK NUMBER: 258409
9�;�TON�;� MILWAUKEE WI 53214 CHECK DATE: 05/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350600 11684 864.04 CLEANING SERVICES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Fonn No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GEAR WASH
657 SOUTH 72ND STREET IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by
MILWAUKEE,WI 53214 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$864.04 Payee
Purchase Order No.
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
Invoice Date Invoice# Description Amount
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members Dept. Fund# (or note attached invoice(s)or bill(s))
11684 I 43-506.00 I $864.04 1 hereby certify that the attached invoice(s),or 04/29/16 11684 $864.04
1120 101 1120 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday,May 02,2016
V�
David Haboush
Fire Chief
Cost distribution ledger classification if I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance
claim paid motor vehicle highway fund with IC 5-11-10-1.6
,20
Clerk-Treasurer
Gear Wash Make checks payable to Gear Wash, LLC INVOICE
Invoice#: 11684
657 S.72nd Street Invoice Date: 04/22/2016
Milwaukee,WI 53214 Invoice Terms: Net 30
Phone: 866-657-0111 Due Date: 05/22/2016
PO/Ref#: 24703
Fax:414-918-4727
Organization: Carmel Fire Department
www.gearwash.com Exempt#:
BILL TO SHIP TO
Carmel Fire Department Carmel Fire Department
Gary Carter Gary Carter
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
317-571-2600 317-571-2600
ITEM ID DESCRIPTION QTY PRICE - AMOUNT
Trouser Sys.ID: 1402424, Manf.: Morning Pride,Model: BPR42Z2PB,
S/N: 910004738, MDate: 10/14/2009, Name: MANERS,PPE-ID:
T1300 Adv Replace-Trouser,Velcro, Hook or Loop, Up to 12 Inches, 2.0 $18.65 $37.30 T
Each
T1650 Adv Repair-Trouser,Adv Patch, Premium OS, Each: 10.0 $8.20 $82.00 T
01000 Option-Lift/Reattach<6 Inches, Minor Repair, Each: 1.0 $11.55 $11.55 T
T1050 Adv Repair-Trouser, Stitching, <6 inches, Each: 4.0 $5.05 $20.20 T
83050 Bsc Repair-Hardware, Snap, Male/Female, Each: 1.0 $5.80 $5.80 T
B3000 Bsc Repair-Hardware, Split Rivet, Each 2.0 $6.45 $12.90 T
01075 Option-Open/Close Seam for Repair, Each: 1.0 $14.30 $14.30 T
Subtotal for 1402424 184.05
Jacket Sys.ID: 1402469, Manf.: Honeywell,Model: LT041Z3TB,S/N:
1311005064, MDate: 11/12/2013,Name: REESE,A, PPE-ID:ID#
112
01100 Option-Remove Existing Option, Each: 1.0 $18.35 $18.35 T
N1000 Name Patch-Style A,4 x 15 inch, One Line, Each: 1.0 $22.15 $22.15 T
L1000 Sewn Ltr/Nbr-Scotchlite, 3 Inch, LimeNellow, Sewn, Each: "A. 7.0 $3.70 $25.90 T
REESE"
N2150 Name Patch-Sew Name Patch to OS, Each: 1.0 $12.75 $12.75 T
02125 Opt Add/Rpl-Size/Name Label, Each: 2.0 $7.40 $14.80 T
Subtotal for 1402469 93.95
Jacket Sys.ID: 1402472, Manf.: Honeywell, Model: LT041Z3TB, S/N:
1311005084, MDate: 11/12/2013,Name: RUSSEL,G,PPE-ID:
ID# 127
01100 Option-Remove Existing Option, Each: 1.0 $18.35 $18.35 T
N1000 Name Patch-Style A,4 x 15 inch, One Line, Each: 1.0 $22.15 $22.15 T
L1000 Sewn Ltr/Nbr-Scotchlite,3 Inch, LimeNellow, Sewn, Each:"G. 8.0 $3.70 $29.60 T
RUSSEL"
N2150 Name Patch-Sew Name Patch to OS, Each: 1.0 $12.75 $12.75 T
02125 Opt Add/Rpl-Size/Name Label, Each: 2.0 $7.40 $14.80 T
Subtotal for 1402472 97.65
Jacket Sys.ID: 1402531, Manf.: Honeywell,Model: LT041Z3TB,S/N:
1311005091, MDate: 11/12/2013, Name: DEITSCH, PPE-ID:ID#
130
J1850 Adv Rpr/Rpl-Jacket, Chin Strap Velcro, Hook or Loop, Each: 1.0 $15.60 $15.60 T
Page 1 of 2
Gear Wash Make checks payable to Gear Wash,LLC INVOICE
Invoice#: 11684
657 S.72nd Street Invoice Date: 04/22/2016
Milwaukee,WI 53214 Invoice Terms: Net 30
Phone:866-657-0111 Due Date: 05/22/2016
PO/Ref#: 24703
Fax:414-918-4727
Organization: Carmel Fire Department
www.gearwash.com Exempt#:
ITEM ID DESCRIPTION QTY PRICE AMOUNT
J1275 Adv Repair-Jacket, Patch, Premium OS, Each: 3.0 $8.35 $25.05 T
J1100 Adv Repair-Jacket,Trim Stitching, Each 2.0 $7.30 $14.60 T
Subtotal for 1402531 55.25
Trouser Sys.ID: 1402657, Manf.: Honeywell, Model: LT041Z3PB,S/N:
1311005234, MDate: 11/12/2013,Name: REESE,A, PPE-ID:ID#
112
02125 Opt Add/Rpl-Size/Name Label, Each: 2.0 $7.40 $14.80 T
Subtotal for 1402657 14.80
Trouser Sys.ID: 1402664, Manf.: Honeywell,Model: LT041Z3PB,S/N:
1311005241, MDate: 11/12/2013,Name: RUSSEL,G,PPE-ID:
ID# 127
02125 Opt Add/Rpl-Size/Name Label, Each: 2.0 $7.40 $14.80 T
YT250 Alteration-Trouser, Decrease Waist,3-4 Inches, Side Seams: 1.0 $203.70 $203.70 T
FROM 40 TO 36
83050 Bsc Repair-Hardware, Snap, Male/Female, Each: 2.0 $5.80 $11.60 T
H1450 Adv Repair-Hardware, Suspender Button, Each: 2.0 $6.95 $13.90 T
Subtotal for 1402664 244.00
Trouser Sys.ID: 1402677, Manf.: Honeywell, Model: LT041Z3PB,S/N:
1311005254, MDate: 11/12/2013, Name:WYANT,PPE-ID:ID#
100
T1650 Adv Repair-Trouser,Adv Patch, Premium OS, Each: 8.0 $8.20 $65.60 T
01025 Option-LifUReattach>6 inches, Major Repair, Each: 2.0 $23.65 $47.30 T
T1100 Adv Repair-Trouser, Bartack Stitch, Each: 2.0 $9.95 $19.90 T
T1200 Adv Repair-Trouser,Trim Stitch Repair, Each: 2.0 $7.30 $14.60 T
Subtotal for 1402677 147.40
Thank you for your business. Sub-Total $837.10
Ship&Handling $26.94
TOTAL $864.04
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